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NPI Code Detail

MEDICARE: FLOURISH BEHAVIORAL HEALTH

MEDICARE: FLOURISH BEHAVIORAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1154207231
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLOURISH BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 2128 WILLIAM ST # 265
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-5847
Country : US
Telephone Number : 573-271-0785
Fax Number :
Provider Business Practice Location Address
First Line : 1465 DAVID ST
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-2803
Country : US
Telephone Number : 573-271-0785
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR/OWNER
Name : KRISTINA N JOHNSON
Credential : LPC
Telephone Number : 573-271-0785
Provider Enumeration Date : 08/13/2025
Last Update Date : 08/13/2025

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Directions to “FLOURISH BEHAVIORAL HEALTH ” Practice Location

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